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.,.. Pe:.'�it No. .r . .� �� <br />APPLICATION FOR aRIVEWAY PERMIT <br />�ITY ENGINEERS <br />EVERETf, WASH. <br />� <br />everett <br />Approved By <br />The Undersigned L` RS � 4-i �/ L L1 S �GDE 1� Doie Apprnved <br />II � <br />Hereby applies for permission to � tJ ST ALL �. I.0 F,T�(Z l- I �« O tJ GI-T'y P 2-O� <br />At fhe following location—� 9 3� %l �1 s�+� J '� Y <br />SKETCH <br />(Work to be d ne) <br />�� � <br />N � m�� I <br />UIjTLT ft <br />�IN� T� CiE <br />ECI �LE1? <br />pLD <br />li D <br />�GAGE <br />I I �' <br />I <br />i � z <br />, <br />I <br />� Di �' _ <br />� � -1-- - - � <br />! - � N. � — _ <br />.. ;9— <br />�x%5 � , I . <br />�� I <br />$rGdG � <br />To <br />.�� <br />f-�C�`�-(' WA-i'6IL i...iNC' <br />` ------ ---- <br />--- ---- I �93�' <br />-�A / <br />,. f� -�RoPos.E.t'� 1'� wA^t'�C2. Y,IfJc <br />�.��- �„ i������i�- /.;.� <br />: .a -, , /y7� <br />The undcrsigned owncr hereby agrees Io hold and save harmless �he Ci1y of <br />Everett (rom ony and all claims for damages thal may arise because of the <br />inslallalion and mainlenancr ol the improvemenl hcrefo applicd (or ond <br />furth�r agree: lo remove some upon nolice i�om Ihe Cily and to replace all <br />puhlic property .iomaged thereby. <br />DRIVEWAY SECTION - <br />NO SCALE .-'� � <br />;nspeclor's Signalure <br />.�� i�=�;kFi% -7`-;�'�r-;� <br />Dole <br />Remarks <br />/ 3 _- � <br />14 <br />is <br />Voriance Required <br />Ycs ......._.. ._..... <br />No.. .. _ . . _. _... <br />T "1 � � � <br />, � � , <br />Signalure oF ApplicaN ' <br />� %:U.� �r �.t.� .. ,.� -!i�4 <br />_... .i'1 _ ' �'� �/ <br />AJElress � • <br />� -��;-i , �✓:; � J'; <br />ielephone Number <br />� <br />� i <: '=y ` �: % <br />,��� <br />, Dofe ' <br />3 / �, � �,";- <br />� �.(� ;} �'.'C..�Gi Fee <br />��-/9- �4� <br />DEPT. APPROVALS <br />Engineer� _ <br />Waler '' ' � 4' : ��'. C . <br />Strcet. --'�=s'���'.-te�,:-�� <br />Communimlions:_ <br />